| NPI | 1376505909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD DD0064964) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 217313) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 228045) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2021-03-22 |